Maternity and Women's Health Care
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Trends
Stem: A 28-year-old pregnant patient tells the nurse she plans
to continue working in a high-stress job throughout pregnancy.
Which nursing response best reflects contemporary, evidence-
based maternity care?
A. “You should stop working to protect your baby.”
B. “Let’s review workplace accommodations and stress-
reduction strategies.”
C. “Stress doesn't affect pregnancy, so keep your routine.”
D. “Ask your employer to place you on modified leave
immediately.”
Correct Answer: B
Rationale (correct): Option B applies an individualized,
,evidence-based approach by assessing needs and offering
practical workplace accommodations and stress-reduction
techniques. This supports maternal autonomy and aligns with
modern, family-centered maternity care.
Rationale (incorrect):
A. Overly prescriptive and not individualized; unnecessary work
restriction may cause economic harm.
C. Incorrect — chronic stress can affect maternal wellbeing and
outcomes; dismisses patient concerns.
D. Premature; immediate leave may be unnecessary without
assessing job demands and accommodations.
Teaching Point: Assess and support workplace accommodations
and stress management collaboratively.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
2
Reference: Ch. 2: Advances in Care of Mothers and Infants —
Technology & Safety
Stem: During discharge teaching after an uncomplicated vaginal
birth, the nurse demonstrates how to use a home infant CPR
device. Which rationale most accurately reflects why
technology training is included in contemporary postpartum
teaching?
A. It replaces the need for in-person follow-up.
B. It enhances parent competence and reduces early infant
,morbidity.
C. It is required by hospital policy regardless of need.
D. It eliminates the necessity for basic newborn care education.
Correct Answer: B
Rationale (correct): Teaching use of safety-enhancing
technology is evidence-based because it increases caregiver
competence and can lower rates of preventable infant harm
when appropriately targeted.
Rationale (incorrect):
A. False — technology supplements, not replaces, follow-up
care.
C. Overgeneralization — hospital policy varies; the clinical
rationale should guide teaching.
D. Incorrect — technology complements, not substitutes,
foundational newborn care education.
Teaching Point: Teach technology as a complement to core
newborn care to improve safety.
Citation: Lowdermilk et al., 2023, Ch. 2: Advances in the Care of
Mothers and Infants.
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants of Health
Stem: A clinic serving a diverse community notes lower prenatal
visit attendance among recent immigrant women. What is the
nurse’s best first action to reduce this disparity?
, A. Schedule additional weekend group classes in English.
B. Survey patients to identify barriers and preferred
communication methods.
C. Provide a printed pamphlet about prenatal care.
D. Refer all immigrants to social services.
Correct Answer: B
Rationale (correct): Collecting data from the affected
population identifies specific barriers and preferences, enabling
targeted interventions — a foundational step in disparity
reduction.
Rationale (incorrect):
A. May help but presumes English and weekend availability; not
tailored.
C. Passive approach likely ineffective if literacy or language are
barriers.
D. Referral may be helpful but is not the first step — it may miss
the root causes affecting attendance.
Teaching Point: Identify community-specific barriers before
implementing solutions.
Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
4 (Recall; foundational concept)
Reference: Ch. 1: Trends in Nursing Practice — Family-Centered
Care
Stem: Which principle best defines family-centered maternity
13th Edition
Author(s)Deitra Lowdermilk
TEST BANK
1
Reference: Ch. 1: 21st-Century Maternity and Women’s Health
Nursing — Contemporary Trends
Stem: A 28-year-old pregnant patient tells the nurse she plans
to continue working in a high-stress job throughout pregnancy.
Which nursing response best reflects contemporary, evidence-
based maternity care?
A. “You should stop working to protect your baby.”
B. “Let’s review workplace accommodations and stress-
reduction strategies.”
C. “Stress doesn't affect pregnancy, so keep your routine.”
D. “Ask your employer to place you on modified leave
immediately.”
Correct Answer: B
Rationale (correct): Option B applies an individualized,
,evidence-based approach by assessing needs and offering
practical workplace accommodations and stress-reduction
techniques. This supports maternal autonomy and aligns with
modern, family-centered maternity care.
Rationale (incorrect):
A. Overly prescriptive and not individualized; unnecessary work
restriction may cause economic harm.
C. Incorrect — chronic stress can affect maternal wellbeing and
outcomes; dismisses patient concerns.
D. Premature; immediate leave may be unnecessary without
assessing job demands and accommodations.
Teaching Point: Assess and support workplace accommodations
and stress management collaboratively.
Citation: Lowdermilk et al., 2023, Ch. 1: 21st-Century Maternity
and Women’s Health Nursing.
2
Reference: Ch. 2: Advances in Care of Mothers and Infants —
Technology & Safety
Stem: During discharge teaching after an uncomplicated vaginal
birth, the nurse demonstrates how to use a home infant CPR
device. Which rationale most accurately reflects why
technology training is included in contemporary postpartum
teaching?
A. It replaces the need for in-person follow-up.
B. It enhances parent competence and reduces early infant
,morbidity.
C. It is required by hospital policy regardless of need.
D. It eliminates the necessity for basic newborn care education.
Correct Answer: B
Rationale (correct): Teaching use of safety-enhancing
technology is evidence-based because it increases caregiver
competence and can lower rates of preventable infant harm
when appropriately targeted.
Rationale (incorrect):
A. False — technology supplements, not replaces, follow-up
care.
C. Overgeneralization — hospital policy varies; the clinical
rationale should guide teaching.
D. Incorrect — technology complements, not substitutes,
foundational newborn care education.
Teaching Point: Teach technology as a complement to core
newborn care to improve safety.
Citation: Lowdermilk et al., 2023, Ch. 2: Advances in the Care of
Mothers and Infants.
3
Reference: Ch. 3: Efforts to Reduce Health Disparities — Social
Determinants of Health
Stem: A clinic serving a diverse community notes lower prenatal
visit attendance among recent immigrant women. What is the
nurse’s best first action to reduce this disparity?
, A. Schedule additional weekend group classes in English.
B. Survey patients to identify barriers and preferred
communication methods.
C. Provide a printed pamphlet about prenatal care.
D. Refer all immigrants to social services.
Correct Answer: B
Rationale (correct): Collecting data from the affected
population identifies specific barriers and preferences, enabling
targeted interventions — a foundational step in disparity
reduction.
Rationale (incorrect):
A. May help but presumes English and weekend availability; not
tailored.
C. Passive approach likely ineffective if literacy or language are
barriers.
D. Referral may be helpful but is not the first step — it may miss
the root causes affecting attendance.
Teaching Point: Identify community-specific barriers before
implementing solutions.
Citation: Lowdermilk et al., 2023, Ch. 3: Efforts to Reduce
Health Disparities.
4 (Recall; foundational concept)
Reference: Ch. 1: Trends in Nursing Practice — Family-Centered
Care
Stem: Which principle best defines family-centered maternity
